HomeMy WebLinkAbout05070213-ApplicationOWNER:
City of Carmd/ Clay TownslHp Permit
APPLICATION
For Single Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, &Accessory Structures
BUILDER of PHONE
RECORD: __ ~
BUILDER S ENAIL ADDRESS ~ ~ ~ · ~ ~ ~ ~ ~ · ACT:
NAME FAX
LOCAT/ON s~c-nON ZONING:
SINGLE FAMILY
[] TOWN HOME
[] TWO FAMILY
# of units:
(~} MULTI-FAMILY
# of Units:_
[] RESIDENTIAL CFor
Additions, Remodels, Etc.)
:-, - .- -~::- VEM :
NEW STRUCTURE
[] ROOM ADDITION(S)
[] PORCH ADDITION(S)
[] REMODEL
[] ACCESSORY BUILDING
[] DETACHED GARAGE
ACFACHED GARAGE
[] DEMOLITION
Manufactured i
Tresses: Y N
Which plumbing codes v
~ Int~maUonal I
U
FOUNDA'I/; - TYPE: (Checkall Utat apply for the new
construction area)
[] POST&BEAN ~
~ BASEMENT /
WALKOUr:.~_.Y N
For. Si~. gl¢ Family and Two Family dwellings, ditions, remodels, and/or accessory structures, this permit is valid only ff
within 180 days of the date of issuance of the building permit, and must be completed (Certificate of Occupancy issued) within 18 months of the
issuance datm Class I structure Permits are subject to the General Adminiserarive Rules of the State of lndiana (See 675 IAC 12) regarding expiration
time frames for beginning and completing construction.
I, the undersigned, agree ,that an~ co. nstru.c, tion, recon~..mlctioth enlargement, relocation, or alteration of a smlcture, or any change in thc use of land or
structures requested by this applicauon will comply vath, and conform to, all applicable laws of the State of Indiana, and the 'Zoning Ordinance o£ Carmel
Indiana ~ 1993" (Z-289) and amendments, adopted under authority of LC, 36-7 et seq, General Assembly of the State of Indiana, and a~ Acts amendatoty
thereto. I further cextffy that only kitehen, bath, and floor drains are connected to the sanitary sewer. I further certify that the construction will not be
Indiana.
Signature of Owner or Authorized Agent Print
OFFICE USE ONLY: ***********************************************
Filing Fees:
Under Slab Reviews